식도 해면상 혈관종 - 1례 보고 -

목형균,신호승,홍기우 대한흉부심장혈관외과학회 1999 Journal of Chest Surgery (J Chest Surg) Vol.32 No.9

식도에서 발생한 혈관종은 전 세계적으로 30례 정도가 보고된 매우 드문 질환이다. 일반적으로 남자에 서 흔하고 증상이 없는 경우가 대부분이나, 연하 곤란 및 출혈 등이 있을 수 있다. 진단은 바륨 식도 조 영술과 내시경을 통해 이루어지고, 치료 방법은 내시경적 절제술과 개흉을 통한 절제술이 있다. 환자는 연하 곤란과 소화 불량을 주소로 내원한 46세 남자로 식도 조영술, 내시경 검사상 식도 중하부의 점막하 종양이 추정되어 수술을 시행하였다. 개흉수술을 통해 절제하였고 조직 검사상 해면상 혈관종으로 확진 되었다. 수술후 합병증이 없이 퇴원하였으며 수술후 관찰 추적중인데, 재발없이 양호한 상태를 보이고 있다. Hemangioma in the esophagus is an uncommon tumor. There have only been about 30 cases reported in the world literatures. It occurs predominantly in men and although majority are asymptomatic, may cause bleeding and dysphagia. Hemangioma in the esophagus was diagnosed with a barium swallowed esophagography and endoscopy. The main treatment modes recommended are surgery and endoscopic resection. We experienced one case of cav ernous hemangioma occurring at the distal esophagus. The patient was a forty-six year old male with dysphagia and indigestion. Barium esophagogram showed a filling defect at the distal portion. Esophagoscopy showed a bluish polypoid mass. Surgical resection was per formed and the pathologic diagnosis was confirmed as cavernous hemangioma. Postoperative course was uneventful and the patient had been followed up without any problems.

이주여성의 주관적 사회수준과 주관적 건강 간의 관련성

목형균,이준협,조규희 한국학교·지역보건교육학회 2017 한국학교지역보건교육학회지 Vol.18 No.3

Objectives: About for twenty years, immigrant women in South Korea have steadily increased due to economic growth and industrialization. According to previous studies in terms of immigrants, subjective socio-economic status(SES) as well as objective SES such as income, occupation and level of education predict health outcomes. The purpose of this study was to examine association between subjective social status and perceived health among immigrant women. Methods: We analyzed 12,531 participants from the 2012 National Survey of Multicultural Families. Study variables included subjective SES in Korea, subjective SES in community and perceived health. Control variables were age, household income, employment, education, marital status, ethnicity, language proficiency. For this study, descriptive analysis, Chi-square test, and multivariate logistic regression analysis were performed. Results: Among immigrant women, after adjusting for control variables, level of education in community was not associated with perceived health. Otherwise, subjective social status in Korea(low subjective social status reference group vs high subjective status : OR 2.056) was associated with perceived health. Conclusions: Immigrant women in Korea would be culturally affected by inherent characteristic rather than social economic status. Through this study, in order to improve health inequality among immigrant women, we should consider developing social supports and networks.

청소년의 신체활동과 주관적 행복감 간의 관련성

목형균,조규희,이승철,이준협 한국학교・지역보건교육학회 2016 한국학교지역보건교육학회지 Vol.17 No.1

만성폐쇄성폐질환의 신체활동수준과 삶의 질 간의 관련성

목형균,조규희 한국학교·지역보건교육학회 2019 한국학교지역보건교육학회지 Vol.20 No.1

Objective: Patients with COPD have a lower overall quality of life than normal people. If patients with COPD do not regularly perform physical activities, their exercise capacity is reduced. It could lead to muscle loss, and negatively affect their general physical, social, and psycho-social status. The purpose of this study was to examine association with physical activity, sedentary life time and health-related quality of life in patients with COPD. Method: Of the total of 22,948 participants surveyed in Korean National Health and Nutrition Examination Survey (KNHANES 2013-2015), 8,626 participants were used for this study. Of these, under 40 years, over 80 years, missing values and abnormal values were excluded. Study variables included physical activity level, sedentary time and health-related quality of life variables. The physical activity level assessment tool was measured using International Physical Activity Questionnaire (IPAQ). Sedentary time referred to the amount of sitting time without moving the body. EQ-5D (Euro Quality of Life-5 Dimensions) was used as an index of health-related quality of life. Control variables were age, gender, income level, education level, marital status, comorbidity, smoking, BMI, cough, sputum, COPD severity. For this study, descriptive analysis, T-test, ANOVA and multivariate regression analysis were performed. Results: Of the 1,092 patients with COPD, 76.1% (n=831) were male and 23.9% (n=261) were female, while 39.0% (n=2,939) were male and 61.0% (n=4,595) were female in the comparison group without COPD. The COPD group with high level of physical activity showed a high level of EQ-5D scores (0.9349 ± 0.11, p <0.001). Among patients with COPD, after adjusting for control variables, physical activity and sedentary time (physical activity level, Β=0.047, p <.001), (sedentary time, Β=-0.017, p <.05) were associated with health-related quality of life. Conclusion: Patients with COPD have a higher quality of life as their physical activity increases and the quality of life decreases as the time spent sitting increases. This study suggests that public health experts should consider improving COPD patient physical activity.

청소년 가정의 사회경제적 수준과 비만 간의 관련성 연구 : 아침 식습관의 매개효과를 중심으로

목형균 국제차세대융합기술학회 2021 차세대융합기술학회논문지 Vol.5 No.6

청소년기 비만은 성인기의 만성질환과 높은 관련성이 있으며 국가의료시스템 운영에도 사회경제적 부담 이다. 본 연구는 청소년 가정의 사회경제적 수준과 비만과의 관계에 있어 아침 식습관의 매개효과를 분석하였다. 선행연구에 따르면 청소년 가정의 사회경제적 수준과 아침 식습관은 비만과 관련이 있었다. 그러나 청소년의 사회 경제적 수준과 비만과의 관계에서의 아침 식습관 매개효과 연구는 미비한 실정이다. 본 연구는 2019년 청소년 건 강행태조사 자료를 활용하였으며, 남학생 29,841명과 여학생 27,462명을 분석하였다. 통계처리는 빈도분석, 교차분 석, 다중 로지스틱 회귀분석, Sobel test를 수행하였다. 결과적으로 청소년 가정의 사회경제적 수준과 비만 간의 관련성에서 아침 식습관의 매개효과는 통계적으로 유의미한 결과가 나타났다. 따라서 청소년들에게 아침 식습관의 중요성을 전달하고 건강생활습관 형성을 위한 교육 프로그램을 제공하는 것이 필요한 것으로 사료된다. Adolescent obesity is highly related to chronic diseases in adulthood and is an economic burden to the national healthcare system. This research analyzes mediating effect of skipping breakfast in association of family’s socioeconomic status(SES) and adolescents’ obesity. Prior research indicates that socioeconomic status and skipping breakfast has shown correlation with obesity rate. However, research on mediating effect of breakfast eating habit on relations between socioeconomic status and obesity is being neglected. This research analyzed data from 2019 Korean Youth Risk Behavior Web-based Survey of 29,841boys and 27,462 girls. Descriptive analysis, Chi-square test, multivariate logistic regression analysis and Sobel test was utilized to analyze the data. Mediating effect of skipping breakfast was relevant in relation between socioeconomic status and obesity on both boys and girls. We believe that importance of breakfast eating habit need to be taught and suggest that educational program should be developed.

새가슴 수술치험 1례 보고

목형균,신호승,홍기우 대한흉부심장혈관외과학회 1999 Journal of Chest Surgery (J Chest Surg) Vol.32 No.5

새가슴은 흉골이 전방으로 돌출 되는 흉벽 기형의 하나로 전방 흉벽이 함몰되는 누두흉보다 그 빈도가 훨씬 적다. 남자에게서 흔하며, 척추 측만증(scoliosis)을 가장 많이 동반한다. 새가슴의 수술적 교정 \ulcorner1952년 Ravitch가 연골흉골병형(chondromanubrial type)에서 다발 기형 늑골 절제와 이중 골 절단술을 처음으로 시행하였다. 저자들은 출생 시부터 관찰되어 성장에 따라 심해진 비대칭성 새가슴 환자 1례에서 양측 기형 늑연골의 연골막하 부분 절제술과 흉골의 단일 골 절단술을 시행하였다. 술후 합병증은 없었으며, 만족할만한 결과를 얻었기에 문헌 고찰과 함께 보고하는 바이다. The pectus carinatum or anterior protrusion of the sternum is a less common than pectus excavatum. It occurs more frequently in boys than girls and associated musculoskeletal abnormalities, spinal scoliosis is most common. Ravitch first reported correction of chondromanubrial prominence in 1952, resecting the multiple deformed costal cartilages and performing a double osteotomy on sternum. We have experienced one case of pectus carinatum and obtained satisfactory postoperative results. The deformity was corrected by the subchondral resection of multiple deformed costal cartilage, bilaterally, with single osteotomy on sternum and fracture of the posterior cortex to correct anterior angulation. Postoperative course was uneventful. We report this case with brief review of the literature.

식도에서 발생한 상피육종암 2례보고

목형균,지현근,남은숙 대한흉부심장혈관외과학회 1999 Journal of Chest Surgery (J Chest Surg) Vol.32 No.10

Carcinosarcoma of the esophagus have an interesting pathologic feature of admixture of carcinomatous and sarcomatous lesion and accounts for 0.5∼1.5% of all esophageal neoplasm. Generally, it has been reported that these have better prognosis than the squamous cell carcinoma. We have experienced two cases of carcinosarcoma occurring at the mid-esophagus. In both two cases, Ivor Lewis operation was performed and lymph node metastasis was absent. The pathologic diagnosis was confirmed as carcinosarcoma. Postoperative course was uneventful and the patients have been followed up for 3 months and 3 years, respectively, without any problems. We report these cases with a brief review of the literatures.

청소년의 가족구조와 아침식사 식습관 간의 관련성

목형균,왕진우,조규희 한국학교·지역보건교육학회 2019 한국학교지역보건교육학회지 Vol.20 No.2

Objective: Recently, Korean adolescent has the problems of nutrition unbalance due to bad eating habits. Also, single-parent and step-parent families have consistently increased because of the increase of divorce rates. Adolescent who lives with a single or step family tends to have unhealthy behaviors and habits. The purpose of this study was to analyze relationship between family structure and irregular breakfast among Korean adolescent. Method: We analyzed 60,040 participants from Korean Youth Risk Behavior Web-based Survey 2018. Study variables included family structure and irregular breakfast. Control variables were sex, school, economic status, parent education levels, drinking, smoking and nutrition education. In terms of this study, descriptive, Chi-square and multivariate logistic regression analysis were performed. Results: After adjusting for socio-demographic variables among boys, family structure was associated with irregular breakfast (living with both parents reference group vs living with single-parent : OR 1.250, 95% CI: 1.142, 1.368). Among girls, after adjusting for control variables, family structure was also associated with irregular breakfast (living with both parents reference group vs living with no both parents : OR 1.409, 95% CI: 1.065, 1.865). Conclusion: According to this study, family structure would be a risk factor of adolescent breakfast habit. Nutrition programs for adolescent should consider these factors.

청소년의 흡연 경험과 관련요인 분석: 가족구조, 가정 내 간접흡연 경험, 친한 친구 흡연 중심으로

조규희,목형균 사단법인 대한보건협회 2019 대한보건연구 Vol.45 No.3

Background: Adolescence life-style affects adulthood health behaviors. Unhealthy behaviors such as smoking tend to be learned from surrounding people like family members or friends. Also, environmental risk factors for smoking such as secondhand smoke at home or peer smoking would have negative effects on healthy behaviors. Objective: The purpose of this study was to examine association among family structure, environmental risk factors and adolescent smoking experiences. Method: This study used data from the 2018 Korea Youth Risk Behavior Web-based Survey. We analyzed 60,040 participants. Study variables included family structure, secondhand smoke at home, peer smoking and life time smoking experience. For this study, descriptive analysis, Chi-square test, and multivariate logistic regression analysis were performed. Results: Among boys, family structure (living with both parents reference groug vs. step parents: OR: 1.60, 95% CI: 1.04-2.50), secondhand smoke at home (No reference group vs. Yes: OR: 1.29, 95% CI: 1.19-1.38), and peer smoking (No reference group vs. Yes: OR: 3.60, 95% CI: 3.32-3.80) were associated with lifetime smoking experience. Among girls, family structure (living with both parents reference group vs living without both parents: OR: 1.60, 95% CI: 1.10-2.24), secondhand smoke at home (No reference group vs Yes: OR: 1.28, 95% CI: 1.15-1.42), and peer smoking (No reference group vs Yes: OR: 6.60, 95% CI: 5.87-7.43) were associated with lifetime smoking experience. Conclusion: Study variables would be a risk factor of adolescent smoking. Health promotion programs should be concerned about these findings. 연구배경: 청소년기의 건강행태는 성인기의 건강생활습관에 영향을 미친다. 흡연과 같은 불건강행태는 가족구성원, 친구, 선생님 등 주변관계에서 습득될 수 있다. 가정 내 간접흡연 경험, 친한 친구의 흡연과 같은 환경적 요인이 주된 흡연 건강위험요인 중 하나이다. 연구목적: 가족구조, 가정 내 간접흡연 경험, 친한 친구의 흡연, 청소년 흡연 경험 간의 관련성을 파악하고자한다. 연구방법: 연구자료는 제14차(2018년) 청소년 건강행태조사를 활용하였다. 연구대상자는 총 60,040명 이었으며, 연구변수로 가족구조, 가정 내 간접흡연 경험, 친한 친구 흡연 여부, 평생 흡연 경험을 사용하였다. 흡연경험과 관련요인을 분석하기 위해 빈도분석, 교차분석, 다중로지스틱회귀분석을 실시하였다. 연구결과: 남학생의 경우, 계부모와 거주하는 경우가 양부모와 거주하는 경우에 비해 교차비가 높았으며(교차비: 1.61, 신뢰구간: 1.04, 2.47), 가정 내 간접흡연 경험이 있는 경우가 흡연 가능성이 높았고(교차비: 1.28, 신뢰구간: 1.19, 1.38), 친한 친구가 흡연하는 경우 교차비가 높았다(교차비: 3.59, 신뢰구간: 3.32, 3.89). 여학생의 경우, 부모와 함께 거주하지 않은 경우가 그렇지 않은 경우에 비해 교차비가 높았고(교차비: 1.57, 신뢰구간: 1.11, 2.24), 가정 내 간접흡연 경험이 있으면 흡연 가능성이 높았으며(교차비: 1.28, 신뢰구간: 1.15, 1.42), 친한 친구 중에 흡연하는 친구가 있으면 교차비가 높았다(교차비: 6.61, 신뢰구간: 5.87, 7.43). 결론: 양부모와 거주하지 않고, 가정 내 간접흡연자가 있고, 친한 친구가 흡연을 하면 그렇지 않은 경우에 비해 흡연을 할 가능성이 높았다. 건강증진프로그램과 금연프로그램을 개발할 때 환경적 요인들을 고려하여 기획해야한다.